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What Led To Revision
gabbykittyvsg replied to dennydenco's topic in Revision Weight Loss Surgery Forums (NEW!)
I'm having a revision due to GERD and associated esophageal damage. Sent from my Z6201V using BariatricPal mobile app -
What Led To Revision
Nifer72 replied to dennydenco's topic in Revision Weight Loss Surgery Forums (NEW!)
I had gastric bypass 21 years ago. I wouldn't say it was a failure that's leading me to the revision as I lost 95 lb and I've kept it off for 21 years. With that being said, I do have more weight to lose about another 75 lb and I've developed issues with GERD and severe motility issues so my surgeon thinks that a revision will help resolve these as well. -
How often does a sleeve need to be converted to bypass?
Meg3722 replied to Pabc's topic in Gastric Sleeve Surgery Forums
It just so happens I was doing a bit of light reading this week on the ASMBS.org website. I discovered stats on bariatric surgeries including revisions. Check out this link to the ASMBS site: https://asmbs.org/resources/estimate-of-bariatric-surgery-numbers When you take in the numbers holistically. Revision rates are climbing rapidly. -
How often does a sleeve need to be converted to bypass?
SleeverSk replied to Pabc's topic in Gastric Sleeve Surgery Forums
To add to what catwoman said another reason people revise to a bypass is weight gain which I would imagine to be the biggest reason -
I chose the "mini" gastric bypass (aka omega loop) basically because of the better stats in the studies (weight loss + chance of keeping it off). That it's easy to revise or reverse is an added bonus for sure, but I would've gone with RNY had this not been an option.
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April 2022 Surgery Buddies
newsam1154 replied to Crinkles's topic in PRE-Operation Weight Loss Surgery Q&A
Hi!!! I'm from PA! and I'm getting revision to bypass due to GERD. Thank you so much! I'm PENDED to get a surgery date today!!!! -
How often does a sleeve need to be converted to bypass?
catwoman7 replied to Pabc's topic in Gastric Sleeve Surgery Forums
from what I've read, about 30% of sleevers have or develop reflux, but it usually can be managed medically (e.g., with PPI's such as omeprazole). There are some who have it so severely that they end up revising to bypass - I don't know the percentage, but I don't think it's huge. It may appear that there are more people who revise than actually do, because people post about it. Those who don't have issues aren't as likely to post about it. Your surgeon may know the stats, though... -
How do you get your doctor to support revision?
shriner37 replied to QueenWiki's topic in Revision Weight Loss Surgery Forums (NEW!)
I'd also tell him about the hernia for sure. I went back to my surgeon 7 years after my sleeve with severe hiatal hernia symptoms. He did an EGD, and as soon as I woke up told me he saw the hernia and had scheduled my revision surgery for the following week. Hernia and GERD are two very good reasons to revise to bypass as it should help with both. As others have said though, don't expect as much weight loss with the revision as with the original surgery. One other thought, I had great luck using my sleeve with a combination of time restricted feeding and keto. I only ate between noon and 6pm (lunch at noon, dinner by 6pm, no snacking) and generally followed keto guidelines. This is the insulin control diet regimen recommended by Dr. Jason Fung. I dropped 20 pounds in a couple months and found it was easy as since my sleeve I didn't have a great deal of hunger. -
February 2022 Surgery Buddies
Toggletrue replied to MeganMyers's topic in PRE-Operation Weight Loss Surgery Q&A
I’m wondering if there is a fee for any form of Revision Bariatric surgery? And if so do most insurances cover? -
I had sleeve, and I'm only 5 months out, so I can't speak to maintaining yet. You will most likely have to take vitamins with either surgery (depending on your surgeon) but there is more risk of vitamin deficiency with bypass. I looked into whether sleeve or bypass patients were more likely to lose more weight or keep it off longer, and it's really hard to tell because while OVERALL people with bypass may do a bit better, there is so much variation in either surgery with how much you lose and how much you keep off. I would not recommend doing the sleeve and then later getting the bypass, unless it's for something like GERD. You rarely lose a significant amount with a revision. Yes, you can drink 3L of water after bypass or sleeve; you just can't drink it all in one gulp. At first you will have to take tiny tiny sips, but over a few months it will get better. For me, I can drink a few gulps at once but can no longer drink a whole bottle of water by guzzling it all at once. It's something you have to get used to for either sleeve or bypass.
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Normal Bites?
DaisyAndSunshine replied to heddenturner's topic in POST-Operation Weight Loss Surgery Q&A
I think I have been able to do normal sized bites. It'll be 3 months end of this month, so I am sure you'll be able to as well with time. I am surprised with your BMI though, 31 and yet they managed to do bypass on you? Do you mind sharing your reasoning behind the surgery and why you chose bypass? Is it a revision one for you or first time? -
How do you get your doctor to support revision?
lizonaplane replied to QueenWiki's topic in Revision Weight Loss Surgery Forums (NEW!)
I think if you frame the reason you want a revision as "weight loss" it's likely you will not have much support, because weight loss from revision is often not much. Your best bet is probably to work with a therapist who specializes in eating disorders and bariatric issues. Especially since you developed pica after your first surgery. While it makes sense to get a revision if you have GERD (not sure about the hernia!), you should keep in mind that you may not lose very much. Also, you can try some other remedies for GERD, like not eating 3-4 hours before lying down, sleeping with the head of your bed elevated, etc. Good luck, and mega-congrats on losing 225lb!! -
How do you get your doctor to support revision?
QueenWiki posted a topic in Revision Weight Loss Surgery Forums (NEW!)
Hi, I'm new! I had a sleeve in 2008 and it gave me GERD. I ended up gaining more weight than I lost due to severe anemia and pica. Then I did keto and lost 225lbs but it still isn't enough. I also have a hernia but it isn't really impactful. I told my doctor that I want revision surgery (but i didn't mention gerd or the hernia, just weight loss) and he is like, "see a dietitian." Also I do not have the same doctor or even live in the same area as I did in 2008. Literally any advice or comments are appreciated here. -
Best of luck to you! My tip is to ask A LOT of questions. I was afraid to at first, and I regret that. Now I'm suffering horrible GERD and looking to revision from sleeve to bypass as a self-pay patient. 😪 In the end, you will know what is right for you!!! I look forward to your journey!!!
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7 yrs post sleeve---now revising to RNY due to GERD
newsam1154 replied to gabbykittyvsg's topic in Revision Weight Loss Surgery Forums (NEW!)
I hope you are doing well! I am also getting revision due to GERD. I have found ZERO relief. Life is miserable. -
February 2022 Surgery Buddies
sleever314 replied to MeganMyers's topic in PRE-Operation Weight Loss Surgery Q&A
2wks out from revision sleeve to RNY best decision I’ve could have ever made. I feel so good now finally. Was becoming short of breath easily and racing pulse going to the bathroom. That now seems to have subsided, but cannot poop regularly and milk of magnesium doesn’t really help. -
February 2022 Surgery Buddies
karenkeitt replied to MeganMyers's topic in PRE-Operation Weight Loss Surgery Q&A
Revision of gastric bypass done on 2/8 in Concord, North Carolina. Can’t wait for soft foods. -
Sleeping on incisions
shriner37 replied to shriner37's topic in POST-Operation Weight Loss Surgery Q&A
Thanks. Yes, every day gets better. This is revision surgery for me so I've been through this with the sleeve, but it was 2015 and some of the details are a bit fuzzy in my memory. I'm a side sleeper and I think after the first surgery I was able to sleep on my side after 3-4 nights. It seems like the incision pain went away quicker this time than last, although this time the gas pains lasted longer. -
April 2022 Surgery Buddies
PurpleAngel73 replied to Crinkles's topic in PRE-Operation Weight Loss Surgery Q&A
No. No revisions. It's my first weight loss surgery! I can't wait! I'm excited [emoji16]!!! Sent from my SM-G960U1 using BariatricPal mobile app -
Yes unfortunately, your hunger does come back but what helps is all you’ve learnt about yourself & your eating habits. Like is what you’re feeling real hunger or head hunger? If it’s head hunger, try a strategy to help manage those feelings (distraction, glass of water, go for a walk, etc.). You said you feel like you’ve put on weight but have you actually put on weight? But you’re not alone worrying about possible or real weight gain. Doesn’t really matter how far along you are, possible weight gain can make you anxious & reflecting on your eating behaviours & your physical & emotional health is the first place to start & then start making any necessary changes. I’m currently battling a small gain so I’ve been revising my food choices & portion sizes. Have I become a little complacent? Is my metabolism slowing a little? Do I need to up my activity? Am I meeting my protein & fluid goals? Is my body ‘settling’ into a new happy place? Should it become my new happy place - more head work? Is my HRT the wrong dose now as I’ve been getting acne lately (WTF?!?!?)? So I’ve started by adding a little more activity, been more vigilant about my water intake, reduced my fruit intake, didn’t have wine at our girls’ lunch. We’ve got this. All the best.
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Anyone's primary doctor was against the operation?
gabbykittyvsg replied to Starky's topic in PRE-Operation Weight Loss Surgery Q&A
I saw my doc this week for a pre op physical and she couldn't be more excited for my revision to bypass What a big contrast to the doc I had when I had the sleeve. Sent from my Z6201V using BariatricPal mobile app -
This topic is a large part of why my first surgery wasn't more successful. I was quite the party guy, hanging out with friends every weekend who drank lots of beer and ate snacks while shooting the breeze at the lake. Unfortunately six months or so after the sleeve I was able to train myself how to drink beer again, and also learned that most snack foods are "slider" foods. This stalled my weight loss at about 60% of my goal. The other thing I learned was that the restriction lessened over time. By five years out I was able to eat almost a regular plate of food. There was still restriction on solid protein (I could only eat about 4 oz of steak) but I could eventually add reasonable side dishes to it. I'd say before surgery I would eat a very large portion, while after I was able to eat a much smaller version of a normal plate of food. While most folks Thanksgiving plates were heaping masses of food, mine was a few ounces of turkey and an assortment of maybe an ounce of each item I wanted to try. I just did a revision to gastric bypass due to hiatal hernia and GERD, but i am looking at this as a second chance to get it right. Six years out from my first surgery my lifestyle has changed enough that not drinking, or only having an occasional glass of wine or cocktail, now is fine with me. Success with weight loss surgery truly does require lifestyle change. The sleeve or pouch is a tool. Its maximum benefits are the first year after surgery. It continues to be a tool after but without a change in lifestyle the benefits won't last forever.
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I had a revision due to gerd and during the liquid and puree phase, I did not feel any restriction. Once I entered solid foods, I absolutely did and still do. I can not eat more than 2 ounces of protein at a time and a little veggies/fruit, and it keeps me full for about 3-4 hours. I am a little over 6 months. I'm close to goal and the weight loss has been steady. It is a definite learning curve though. My "I'm satisfied" flag does not come up till 30 to 40 min later so I've learned to always measure my food beforehand to avoid anything uncomfortable later and to chew a lot.
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Another Tummy Tuck Experience
Toesinthewater replied to Toesinthewater's topic in Plastic & Reconstructive Surgery
Goal of the future scar revision is to move the incision under the tattoo down closer to where my underwear are and to remove more of the tattoo so that the incision looks more like a "handlebar" and less like a "grin". FYI: What's left of the tattoo is the half that was originally above my belly button so you can have some idea how much skin was removed. The tummy tuck didn't give me my 20 something stomach back but I'm happy with the results so far. The "final" result won't be apparent for several more months. Plus the lipo should help. -
April 2022 Surgery Buddies
Bmordan replied to Crinkles's topic in PRE-Operation Weight Loss Surgery Q&A
Revision? Did you have the sleeve prior?
